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Cited by 423

The DOI matches its Crossref record; 18 of the 18 references it cites were found in a registry or an index.

Proof of Concept Trial of Dronabinol in Obstructive Sleep Apnea

Open access
Prasad, Bharati, Radulovacki, Miodrag G., Carley, David W.·2013·Frontiers in Psychiatry

Abstract

STUDY OBJECTIVE: Animal data suggest that Δ(9)-TetraHydroCannabinol (Δ(9)THC) stabilizes autonomic output during sleep, reduces spontaneous sleep-disordered breathing, and blocks serotonin-induced exacerbation of sleep apnea. On this basis, we examined the safety, tolerability, and efficacy of dronabinol (Δ(9)THC), an exogenous Cannabinoid type 1 and type 2 (CB1 and CB2) receptor agonist in patients with Obstructive Sleep Apnea (OSA). DESIGN AND SETTING: Proof of concept; single-center dose-escalation study of dronabinol. PARTICIPANTS: Seventeen adults with a baseline Apnea Hypopnea Index (AHI) ≥15/h. Baseline polysomnography (PSG) was performed after a 7-day washout of Continuous Positive Airway Pressure treatment. INTERVENTION: Dronabinol was administered after baseline PSG, starting at 2.5 mg once daily. The dose was increased weekly, as tolerated, to 5 mg and finally to 10 mg once daily. MEASUREMENTS AND RESULTS: Repeat PSG assessments were performed on nights 7, 14, and 21 of dronabinol treatment. Change in AHI (ΔAHI, mean ± SD) was significant from baseline to night 21 (-14.1 ± 17.5; p = 0.007). No degradation of sleep architecture or serious adverse events was noted. CONCLUSION: Dronabinol treatment is safe and well-tolerated in OSA patients at doses of 2.5-10 mg daily and significantly reduces AHI in the short-term. These findings should be confirmed in a larger study in order to identify sub-populations with OSA that may benefit from cannabimimetic pharmacologic therapy.

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Metadata

Authors
Prasad, B., Radulovacki, M. G., & Carley, D. W.
Venue
Frontiers in Psychiatry
Published
2013
Volume
4
Pages
1-1
ISSN
1664-0640 (ISSN-L)
OpenAlex
W2154294420
Cited by
423
References
18
FWCI
32.64
Type
journal article
Language
en
Open access
gold

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CoChat. (2026). Citation check: Proof of Concept Trial of Dronabinol in Obstructive Sleep Apnea. https://app.cochat.ai/papers/10.3389/fpsyt.2013.00001
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Prasad, B., Radulovacki, M. G., & Carley, D. W. (2013). Proof of Concept Trial of Dronabinol in Obstructive Sleep Apnea. Frontiers in Psychiatry. https://doi.org/10.3389/fpsyt.2013.00001

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